[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 34.204.191.0. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
May 27, 1933

A NEW SIGN OF PERICARDIAL EFFUSION

Author Affiliations

NEW YORK
From the first Medical Service, Mount Sinai Hospital, Dr. B. S. Oppenheimer.

JAMA. 1933;100(21):1663-1664. doi:10.1001/jama.1933.02740210011004

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

The determination of moderate quantities of fluid within the pericardial cavity by physical diagnosis is too often indecisive. Even the roentgenologic diagnosis is by no means infallible. Of all the evidences that are conventionally employed, I have found that the conjunction of three signs is usually conclusive in determining the diagnosis of pericardial effusion; in the order of their importance, they are: (1) widening of the area of cardiac flatness, (2) abrupt transition from pulmonary resonance to cardiac flatness and (3) widening of the cardiac dulness in the second intercostal space. Of these three signs, only the second, so far as I can gather, has not been described before. No one of these signs, taken singly, is conclusive, but together they form a triad which is thoroughly reliable, as confirmed by roentgen examination or at autopsy.

The physical basis for these signs is obvious. The normal area of cardiac flatness

First Page Preview View Large
First page PDF preview
First page PDF preview
×